| Innertide Counseling | |
|
64 Bonnybank Ter South Portland ME 04106-6307 | |
| (207) 613-5446 | |
| Not Available |
| Full Name | Innertide Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 64 Bonnybank Ter, South Portland, Maine |
| Authorized Official Name and Position | Ashley Higgins (OWNER/COUNSELING) |
| Authorized Official Contact | 2076135446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innertide Counseling 64 Bonnybank Ter South Portland ME 04106-6307 Ph: () - | Innertide Counseling 64 Bonnybank Ter South Portland ME 04106-6307 Ph: (207) 613-5446 |
| NPI Number | 1457074254 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457074254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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